This is the first step in improving your health and lifestyle.

I'm ready to get started now.

"My husband and I went to Tidewater Bariatrics' orientation class and decided that day to do it. I've now lost 60 pounds and John has lost 120 pounds in only 7 months. We tried other diets before and even lost up to 40 pounds, but it all came back and then some. The main failure was doing it by ourselves. Now we're doing it with the support of Dr. Gaglione, her staff, and through interaction with other classmates who are going through the program with us. It absolutely makes a big difference. Dr. Gaglione and her staff are fantastic. They provide insight, nutritional education, and valuable feedback. They all show how much they care and with their help and encouragement, success in the program is inevitable. "Our everyday lives have been positively impacted and dramatically changed by the program and our rapid weight loss. At one point, John and I didn't even go shopping at the mall or enjoy a walk because he was not able to walk for more than 10 minutes without stopping to rest. He consistently experienced joint pain and fatigue. But now, everything is different. We enjoy these and many new physical activities, and our energy level is much higher. In fact, we joined a fitness center and are exercising regularly. We have participated in a 5K race and within a month we plan to run/walk a 10K! John and I have even started playing tennis. We look so much better and feel much more alive and vibrant. John Monsman before and after "Tidewater Bariatrics and the HMR program has impacted and improved so many aspects of our lives. However, the most important improvement has been with our health. We both strongly believe we've increased the quality of our lives and substantially increased the length of our lives. Prior to starting the program, John had a medical problem called edema and was on the drug Lasix. Due to the weight loss, he's off that medication, the edema is gone, and we both are relieved about that. His blood pressure also dropped significantly, which has decreased his chance of having a stroke or suffering a heart attack. "Thank you, Dr. Gaglione and your entire staff for providing us both with a way to regain the true gift of healthier and happier lives!"

Kathy and John Monsman Husband and wife patients


Decision-Free® Diet: Results not typical. HMR® published data from selected programs offering the Decision-Free® Diet Program show a 50-60 pound average weight loss.

This is the first step in improving your health and lifestyle.

At Tidewater Bariatrics, my staff and I are committed to helping you achieve your weight loss goals.

I am a board certified Bariatrician and Internal Medicine physician. I will tailor a program specific to your needs, time constraints and abilities.

Our program is modeled after successful academic university medical center programs, and is dedicated to decreasing your health risk, improving nutrition, providing health education, and increasing your overall wellness. You can expect to lose weight, improve your cardio-vascular health, and reduce your risk of developing long-term obesity complications.

Even if you already have the complications of obesity, weight loss can decrease or eliminate their effects.

Dr. Margaret Gaglione

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